Dynamic Workers' Comp Loss Time Claims Adjuster

001 Brown & Brown, Inc; Village of Garden City (NY); On-site; USD 55,000 - 95,000; Full time

Benefits offered by this job

Health Benefits

401k

Tuition Reimbursement

Paid Time Off

Diversity & Belonging culture

Job summary

Brown & Brown, Inc. in New York seeks a WC Loss Time Claims Adjuster to manage workers’ compensation claims within authority levels and NYS guidelines. You will investigate, file FROI/SROI, establish reserves, authorize payments, and negotiate settlements with the NYS WC Board and involved parties.

New York State license required or obtained within 6 months. Prior NY workers’ compensation experience and a Bachelor’s degree are preferred.

Qualifications

• New York State license required or obtained within 6 months of employment.
• Prior experience adjusting New York State workers’ compensation claims is preferred.
• Bachelor’s degree preferred.

Responsibilities

• Investigate and gather information to determine compensability by conducting three-point contact interviews with the employer, claimant, and healthcare provider.
• Secure and file necessary documents, including FROI & SROI forms with the NYS Workers’ Compensation Board, claimant and claimant’s attorney.
• Establish reserves, authorize payments & treatment within the NYS Medical Treatment Guidelines, under a set of authority.
• Examine and authorize payment of medical bills.
• Recognize and refer cases when IMEs are indicated.
• Prepare and instruct counsel to defend our interests for hearings at the NYS WC Board.
• Respond to written and telephone inquiries from claimants, clients, attorneys, doctors & vendors.
• Establish proper cost containment techniques; vendor referrals, recoveries & strategic case planning.
• Recognize cases that meet the criteria for reporting to the Excess Carrier.
• Negotiate settlements.
• Control the disposition of the claim process from investigation to settlement.

Skills

Telephone demeanor

Confidentiality

NY workers’ comp experience

207(a)/207(b) claims

Education

Bachelor’s degree

Job description

Brown & Brown, Inc. in New York seeks a WC Loss Time Claims Adjuster to manage workers’ compensation claims within authority levels and NYS guidelines. You will investigate, file FROI/SROI, establish reserves, authorize payments, and negotiate settlements with the NYS WC Board and involved parties.

New York State license required or obtained within 6 months. Prior NY workers’ compensation experience and a Bachelor’s degree are preferred.